- HealthFirst Family (Franklin, NH)
- …Care Business of the Year , according to Business NH Magazine? Join the HealthFirst community, where every position has purpose! Step into a career where you're not ... filling a position, you're making a meaningful impact. At HealthFirst , we're more than a doctor's office - we're...dream of. Ready to make a difference? Join us! HealthFirst Family Care Center, a Certified Great Place to… more
- Healthfirst (NY)
- …steps related to complex government regulations. + Collaborate with the Healthfirst Compliance department, oversees the implementation and effectuation of all plans ... requirements are met. + Be responsible for bringing pertinent items to Healthfirst Regulatory Change Management and seeing projects through to fruition to ensure… more
- Healthfirst (NY)
- …that may be required or assigned. **Minimum Qualifications** + Experience working in an Agile environment as a Product Owner + Experience and track record of success ... directing the efforts of developers as a project manager or product owner in a deadline-driven and fast-paced environment + Ability to juggle multiple projects and tasks. Demonstrated knowledge of project management concepts (preferably Agile/SCRUM) + Hands on… more
- Healthfirst (NH)
- …+ Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. + Conducts assessments to identify barriers and ... opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends interventions that align with proposed goals. + Generates referrals to providers, community-based resources, and appropriate services and other… more
- Healthfirst (FL)
- …that may be required or assigned **Minimum Qualifications** + Experience working in an Agile environment as a Product Owner + Experience and track record of success ... directing the efforts of developers as a project manager or product owner in a deadline-driven and fast-paced environment + Ability to juggle multiple projects and tasks. Demonstrated knowledge of project management concepts (preferably Agile/SCRUM) + Hands on… more
- Healthfirst (NY)
- …+ Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System ... (UAS); make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills. As needed, conducts assessments in settings other than home as needed, eg skilled nursing facilities or virtually + Completes… more
- Healthfirst (Enfield, NY)
- …in assigned territories. Special focus on reaching the Asian community in the Healthfirst service area (NYC). + Identify opportunities to tell the stories created by ... partnerships and relationships + Demonstrated professionalism in public spheres to represent Healthfirst in the target communities + Must be willing and able to… more
- Healthfirst (NY)
- …In the Clinical Performance Optimization team, you will work with process improvements, project go-lives, and reporting/analytics. This is a critical team that will ... provide insight across various programs and lines of businesses across the company. Duties & Responsibilities: + Enhance program management/project management tools and reporting + Create portfolio level reporting across teams + Learn business areas and create… more
- Healthfirst (Enfield, NY)
- …home visits per day (clustered in small geographic areas) + Supports the Healthfirst clinical team members, including UAS nurses and Care Managers, by facilitating ... needed, escalates member questions, as directed + Properly documents findings in Healthfirst information systems + Collaborates with other members of the clinical… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, streamlined ... experience for both providers and operations staff + Works closely with technology and business leadership to support the evolution and operation of a variety of digital claims capabilities on our modernization roadmap + Analyzes project needs and determines… more
- Healthfirst (NY)
- …+ Provides telephonic (and occasional onsite) care management to support the members care needs to promote positive health outcomes. + Advocates, informs, and ... educates beneficiaries on services, self-management techniques, and health benefits. + Attends Interdisciplinary Team (IDT) Rounds several times per week to discuss and review high-risk cases + Conducts assessments to identify barriers and opportunities for… more
- Healthfirst (NY)
- …+ Manages FCC Team Leads by providing coaching, development, and support to build effective and engaged field teams + Monitors team performance, addresses resource ... needs, and ensures consistent execution of care coordination workflows and protocols + Analyzes and presents team performance data, productivity metrics, and quality indicators to departmental leadership + Collaborates with Team Leads to address and resolve… more
- Healthfirst (NY)
- …timeliness, accuracy, and consistency. + Coordinates and communicates with Healthfirst Care Management teams regarding clinical eligibility issues, necessary service ... Director in directing, training, and developing team members by embodying the Healthfirst Trailblazer mindset and leading others by example. + Builds and develops… more
- Healthfirst (NY)
- …changes in regulations, recent training sessions, changes in workflow, and changes to Healthfirst benefits. Required on a routine basis to achieve a passing score on ... audits. When summoned by the Special Investigation Unit (SIU) of Healthfirst you will be adequately prepared, forthcoming with information and cooperative… more
- Healthfirst (MS)
- …+ Plays a leadership role in the definition and execution of the Information Management roadmap. + Supports Data Architecture roadmap by managing architectural runway ... for enterprise data model, enterprise data store/warehouse, information management, and advanced data analytics capabilities. + Provides data architecture thought leadership to cross-functional teams in the areas of advanced data techniques, including data… more
- Healthfirst (NY)
- …+ Lead a team of technical managers and engineers to build highly scalable solutions + As a leader, you will help develop Hyphens products and mentor other ... engineering managers and team members in the process + You will collaborate with other engineering teams, and work autonomously to maintain existing products and participate in new initiatives + Work with leadership across teams to plan new projects and… more
- Healthfirst (NY)
- …+ Coordinates and manages marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, ... and tracking approvals of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing significant marketing documents, assigning material IDs, and tracking… more
- Healthfirst (NY)
- …& Responsibilities** + Develop a vision and strategy that differentiates Healthfirst on our social media channels (LinkedIn, Facebook, Instagram, WeChat, YouTube), ... aligned with the companys brand, reputation and business goals + Define annual objectives for social media channels and measurement plan + Lead content strategy to support key initiatives (eg, marketing acquisition campaigns, community programs, business and… more
- Healthfirst (Enfield, NY)
- …updates when needed. + Strictly adhere to all CMS regulations and Healthfirst marketing guidelines. + Ensure all documentation is complete, comprehensive, clear, ... appropriately filled out including Application, Application Confirmation Form, Scope of Appointment and Application Submission Form, and Salesforce. + Provide competitive intelligence to management on any activities Healthfirsts market competitors are engaging… more
- Healthfirst (NY)
- …per week **Duties & Responsibilities:** + Prepare, review, and deliver Healthfirst reporting of financial statements using Statutory Accounting Principles. + Ensure ... all reporting submissions are filed on time, meet the highest standards and are supported by comprehensive documentation. + Perform the GAAP to STAT reconciliation process and Fluctuation comparative analysis including preparing journal entries required. +… more
